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Faculty Leave Report

Name:         

Email:        

Destination (Address While Away):    

Purpose Of Travel (Reason):
DATES OF LEAVE - Vacation and Sick Leave are recorded in 4 hour increments
From Date:
To Date
Total Hours Requested:

Leave Type:
Vacation
Sick
Funeral
Jury Duty
Military
Leave Without Pay
Discretionary
Holiday Compensatory Time
Offical Leave
Other

If "Other" please specify: